| NPI | 1154796506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT OJEDA CEO 626-252-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH03470) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2024-11-18 |